Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
  1. Home
  2. Search

Refine search

Refine search

Access:
Content type:
Publication date:
Apply   From and To filters
Subject: Show more
Journals Show more
Publishers: Show more
Societies Show more
Series: Show more
Collections: Show more

Actions for selected content:

Select all | Deselect all
  • View selected items
  • Export citations
  • Download PDF (zip)
  • Save to Kindle
  • Save to Dropbox
  • Save to Google Drive

Save Search

You can save your searches here and later view and run them again in "My saved searches".

Please provide a title, maximum of 40 characters.
Cancel
×

3 results

  • Chapter 21 - Postanesthesia Recovery Period: Analgesics

  • Edited by Dharti Patel, Mount Sinai West and Morningside Hospitals, New York, Sang J. Kim, Hospital for Special Surgery, New York, Himani V. Bhatt, Mount Sinai West and Morningside Hospitals, New York, Alopi M. Patel, Rutgers Robert Wood Johnson Medical School, New Jersey
  • Book:
    BASIC Essentials
    Published online:
    21 February 2025
    Print publication:
    13 March 2025, pp 114-119

  • Summary

    This chapter concisely reviews common situations encountered in the postanesthesia care unit (PACU). Common airway and respiratory scenarios covered include airway obstruction, broncho- or laryngo-spasm, respiratory depression secondary to narcotics to less common situations such as pneumonia to transfusion-related pulmonary pathology. Patients recovering from anesthesia and surgery may experience hypo- or hypertension or arrhythmias postoperatively. Multimodal treatment of frequent events such as pain and postoperative nausea/vomiting are addressed to assist providers in managing difficult to treat patients. As patients transition from anesthesia, they can experience neuromuscular-related complications such as residual weakness, delayed emergence, delirium, and cognitive decline.

  • The Effect of Perioperative Betamethasone on Post-operative Nausea, Vomiting and Pain in Children Undergoing Tonsillar Surgery

  • Ulrica Johansson, Carola Sundgren, Krister Tano, Johannes van den Berg
  • Journal:
    British Journal of Anaesthetic & Recovery Nursing / Volume 11 / Issue 2 / May 2010
    Published online by Cambridge University Press:
    01 May 2010, pp. 24-29
    Print publication:
    May 2010
  • Objectives

    :To investigate if a single dose of betamethasone given perioperatively could reduce common post-operative problems such as vomiting, nausea and pain in children undergoing tonsillar surgery.

    Background

    :Post-operative nausea and vomiting (PONV) are common problems after surgery caused by several perioperative factors, such as post-operative pain. Prophylactic treatment of PONV can be effective in improving recovery after surgery. Studies have shown that the use of a single dose of dexamethasone during tonsillectomies in children was efficient against PONV. Dexamethasone is not available in Sweden for intravenous administration; betamethasone was thought to be an alternative.

    Method

    :The study was a retrospective cohort study including 69 children who underwent tonsillar surgery. A single dose of betamethasone perioperatively was introduced to a group of 32 children, to reduce PONV while 37 children did not receive betamethasone. Data were received from the medical records and from a post-operative questionnaire.

    Results

    :No significant differences for children undergoing tonsillar surgery regarding the prevalence of PONV between the betamethasone group and the non-betamethasone group were found. This was maybe due to a comparatively low dose of betamethasone. However, the given dose was sufficient to significantly reduce post-operative pain.